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Regional Perinatal Programs of California
MATERNAL, CHILD AND ADOLESCENT HEALTH
RPPC P
RO
FIL
E
2019
The Regional Perinatal Programs of California (RPPC) is a key component of California’s community-based comprehensive perinatal health system. This system includes the Comprehensive Perinatal Services Program (CPSP), RPPC and other local Title XIX efforts. It’s a systemthat encompasses prenatal care, delivery care, postpartum care, and neonatal and infant care services that have been demonstrated effective in preventing or reducing maternal, perinatal, and infant mortality and morbidity.
RPPC’s mission is simple: to ensure that mothers and
babies are receiving the right care at the right time,
and to prevent avoidable long-term or permanent
disability or mortality. Comprised of a cooperative
network of public and private health care professionals,
RPPC identifies and addresses the special needs of
high-risk pregnant women and infants, particularly in
underserved areas. RPPC Regional Directors are highly
experienced maternal and/or infant healthcare personnel
who serve as a link between the California Department of
Public Health’s Maternal, Child and Adolescent Health
Division (CDPH/MCAH) and birthing hospitals,
advocating for data-driven quality improvement activities,
including data collection protocols, and quality assurance
policies and procedures. The Regional Perinatal Program
Directors and staff provide resources, consultation,
and technical assistance to hospitals and health
care providers.
State MCAH staff support the RPPC Directors in their
work and coordinate efforts to improve perinatal care
at a higher level by working with other key partners, such
as Stanford University, March of Dimes and the American
College of Obstetricians and Gynecologists, to name a
few. Twice a year, State MCAH convenes the RPPC
Directors for in-person meetings to discuss the
RPPC scope of work and emerging issues that impact
perinatal health.
OUR GOAL: To ensure pregnant women and their
babies have access to the level of care they need;
reduce adverse maternal and neonatal outcomes;
and eliminate disparities in infant and maternal
morbidity and mortality.
OUR WORK:
technical assistance to perinatal units, implementation
of data driven quality improvement activities and the
promotion of breastfeeding.
To promote access to risk-appropriate
care for pregnant women and their infants through
the coordination of maternal and infant transport,
WE SERVE: Birthing hospitals that assist all pregnant
women and their infants who are at high risk for
medical complications before, during and after birth.
FUNDING: Federal Title V MCH Block Grant and
special funds.
RPPC Directors Work with Local Birthing Hospitals
RPPC supports birthing hospital staff with education, evidence-based standards and practice policies. Every year, RPPC Directors and Coordinators meet with each of the hospitals in their region to review their hospital’s data and to find opportunities to improve perinatal care, based on the hospital’s specific needs. When applicable, quality improve-ment toolkits developed by CDPH and our partners at the California Ma-ternal Quality Care Collaborative and the California Perinatal Quality Care Collaborative are used to help support a hospital’s quality improvement efforts. RPPC also works with local health jurisdictions to promote overall health, well-being and access to care in the communities they serve.
RPPC Regions
Nine RPPC regions represent 229 labor and delivery hospitals across the state.
Maternal Risk-Appropriate Care
In the 1970s, studies demonstrated that timely access to risk-appropriate neonatal and obstetric care could reduce perinatal mortality. In 1979 the California legislature established the conceptual framework of regionalization of care for women and newborns with passage of H&S Code 123550 – 123610. The regionalization of care for women and newborns was gradually separated with a focus almost entirely on newborns. The designations for hospital that care for newborn infants according to the level of complexity of care provided was first proposed in 1976.
In 2015, American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine published guidelines and a policy statement establishing maternal levels of care. Maternal Regionalized care means pregnant women at high risk receive care in facilities that are prepared to provide the required level of specialized care the pregnant woman needs, thereby reducing maternal morbidity and mortality.
MCAH current efforts to further the establishment of Maternal Levels of Care include:
Establishment of a stakeholder group with key experts in this field to develop recommendations of strategies to establish maternal levels of care.
Collaboration with the CDC to analyze, interpret hospital self-identified maternal levels of care data.
Train RPPC Directors to understand the hospitals’ self-identified levels of care data and the American Association of Obstetricians and Society for Maternal-Fetal Medicine definitions of levels of care.
Improving perinatal health outcomes doesn’t happen alone. Below are some of the organizations RPPC collaborates with on a state and local level:
Partners California Association of
Neonatologists
California Birthing Hospitals
California County Local Health Jurisdictions
California Diabetes and Pregnancy Program, Sweet Success
California Maternal Quality Care Collaborative
California Office of Vital Records
California Perinatal Services Program
California Perinatal Transport System
California Perinatal Quality Care Collaborative
California Pregnancy Associated Mortality Review
Maternal Risk Appropriate Care Collaborative
Women, Infants and Children
Maternal Data Center
March of Dimes
RESOURCES Resources, including quality improvement toolkits, for hospitals and providers are available on the MCAH website: cdph.ca.gov/rppc
P.O. Box 997420, MS 8300 Sacramento, CA 95899-7420 (916) 650-0300 [email protected]